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HomeMy WebLinkAbout2019-12-31 Form 460 - KellyRecipient Committee Campaign Statement Cover Page Statement covers period I Date of election if applicable: from ( M 19 (Month, Day, Year) SEE INSTRUCTIONS ON REVERSE through , 31 awl I inad 1 O I. Type of Recipient Committee: All Committees— Complete Parts 1, 2, 3, and 4. 2. Type of Statement: (Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled folhoCwnpWePart5) 0 Sponsored ❑ General Purpose Committee (AlmCaorpl*Pad 6) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (NsoCaMiAftParf 7) 3. Committee Information ID.NUMBER (3$ UUMMI I I LL NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) 14 akb I em i4 e 11 � A;c�rr Pa ll m -DeSer+ C l }� CovYlci l Wip STREETADDRESS (NO P.O. BOX) 4�-100 STATE ZIP CODE AREA CODEJPHONE OPTIONAL. FAX 1 E-MAIL ADDRESS COVER PAGE Date Stamp REI CITY CLERK SEOF • PALM OESER.r 'Rage___ of 2020 BAN 27 AM S 2 R For Official Use ❑ Preelection Statement N Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Peer R i e+n h Se MAILING ADDRESS 64 Gig ❑ Special Odd -Year Report a7HIC LI-U Uc AKEA G IJUPHUNE e5e,r1 lot' Springs Ca g2,�tAa (166) 4� ASSISTANT TREASURER. IF AN?" mourt.1 kle -) I�e11 MAILING ADDRESS 14 6 - have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and In the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on J anu Awl �� ° u By Dar Sgnalure or Tre u By Data Solatwe of Controllmg OfficaWder Canddale, State Measwe Proponent Executed on By Date Sgnature of ConlroNing Of icariolder, Candidate, 51sla Measure Proponarg FPPC Form 460 (Jan/2016) FPPG Advice: advice@fppc.ca.gov (866/275-3772) Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Ro,*keen 1 e1lL3 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Poo m `Oe5er} CiKj Co,mci l RESIDENTIALIBUSINESSADDRESS (NO.(AND STREET) CITY STATE ZIP Pa-im'}eLLzn+ CA Raao Related Committees Not Included in this Statement: List any committees not Included In this statement that are controlled by you or are primarily formed to receive contributions ormake expenditures on behalf of your candidacy. NAME OF TREASURER I.D. NUMBER STREETADDRESS (NO P.O. BOX) ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COVER PAGE - PART Z Page . k. of 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO OR LETTER JURISDICTION [:]SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, orstate measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholders) or candidates) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-37721 www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers period 0 . Summary Page � , � � from SEE INSTRUCTIONS ON REVERSE through i ?)I Page 'ol 4 NAME OF FIL R 1 D NUMBER li�lnlem RO for PUM `De�ey+ Cl' Cc�vnei i aol{ 1376"N 5 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEOULESt TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions.................................................. schedule A. Line 3 2. Loans Received ........... .:.::........... ............................... ... Schedule B, Line 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Ada Lines 1 + 2 4. Nonmonetary Contributions ............................................ schedule C. Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........... _------------ _---- .Add Lines 3+ 4 Expenditures Made 6. Payments Made ................................. ....... ......... ........... .... schedule E. Line 4 7 Loans Made ........................... ............ .......... ....... ..........._. Schedule H Line 3 8. SUBTOTAL CASH PAYMENTS ..::::.. ....... .......... ......::....... Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) ______________„_,,,_._ ..._scheduleF Line 3 10. Nonmonetary Adjustment. .:...:..:..:...:..:...:..�_�..... ... schedule C, Lrne 3 11. TOTAL EXPENDITURES MADE, ... .......... Add Lines s + 9 + 10 Current Cash Statement 12. Beginning Cash Balance..... .............. ....... Previous summary Page. Line 16 13_ Cash Receipts....._....................................._.........__.... Column A. Line 3 above 14. Miscellaneous Increases to Cash ................................ schedule 1, Line 4 15. Cash Payments......................................................... column A. Line a above 16. ENDING CASH BALANCE .................Add Lines 12 + 13 + 14. then subtract Line 15 If this is a termination statement, Line 16 must be zero. S 5 $ 5 S 5 $ MOO S S ti-00 $ �04•54 la• 00 5 59a.54 17. LOAN GUARANTEES RECEIVED ................................ schedule E. Part 2 S Cash Equivalents and Outstanding Debts 18 Cash Equivalents ............................................... see Instructions on reverse $ 19. Outstanding Debts ............................„ Add Line 2 + Line 9 in Column 8 above $ '14.00 S 14.0 To calculate Column B. add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts to Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2. 7_ and 9 (if any) 111 through WO 711 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (Of Subject to Voluntary EapenrHture Limit) Date of Election (mmlddtyy) 1 1$ Total to Date 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275.3772) www.fppc.ca.gov Schedule E Amounts may be rounded SCHEDULE E from Statement covers period . to whole dollars. ii • � � Payments Made 7 I l t SEE INSTRUCTIONS ON REVERSE through Page of 4 NAME OF FILER I D. NUMBER �OAA.Ikew 1�ell� or Covnell l313WG_ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonelary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate riling/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (inlemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMRTEE, ALSO ENTER I.O. NUMBER) CODE OR ` Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary DESCRIPTION OF PAYMENT SUBTOTAL $ 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................... $ 2. Unitemized payments made this period of under$100..................................... .01n�i...�ee.................................................. ....I--...,.... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e},)............................................................................. $ _Y 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $ — /TTG1TRWYLIl8. sa-oo FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov